经皮神经电刺激联合蜡疗治疗脑卒中复杂性区域疼痛综合征的疗效  

Effect of percutaneous nerve electrical stimulation combined with wax therapy on shoulder complex regional pain syndrome in stroke patients with hemiplegia

作　　者：孔雪 汤智伟 李树香[1] 田咏 李传侠 KONG Xue;TANG Zhiwei;LI Shuxiang;TIAN Yong;LI Chuanxia(Tianjin Haihe Hospital,Tianjin 300350,China;Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]天津市海河医院,天津300350 [2]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中国实用神经疾病杂志》2022年第8期925-928,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析经皮神经电刺激联合蜡疗对脑卒中偏瘫患者肩部复杂性区域疼痛综合征的影响。方法60例脑卒中病人随机分为实验组31例和对照组29例,对照组采用常规康复训练,实验组在常规治疗基础上进行经皮神经电性刺激和蜡疗。训练4周后,采用疼痛评分(VAS),上肢功能评分Fugl-Meyer(FMA-UE)和日常生活能力Barthel指数(MBA)评分对2组疗效进行对比。结果对照组治疗前VAS评分(7.7±1.4)分,治疗后为(2.5±1.3)分;实验组治疗前VAS评分(7.7±1.4)分,治疗后(1.9±1.2)分;对照组治疗前FMA-UE评分(25.5±7.5)分,治疗后(34.1±7.7)分;实验组治疗前VAS评分(24.9±6.3)分,治疗后(35.8±7.9)分;对照组治疗前MBA(36.6±4.6),治疗后(43.9±3.7)分;实验组治疗前MBA(38.1±6.2);治疗后(54.8±7.1);2组治疗后VAS评分、FMA-UE评分和MBA均较治疗前明显改善(P<0.05),且实验组显著优于对照组(P<0.05)。结论经皮电刺激联合蜡疗可有效减轻脑卒中偏瘫患者的肩部复杂性区域疼痛综合征的症状,增强上肢运动功能,提高病人的日常活动能力。Objective To analyze the effect of percutaneous nerve electrical stimulation combined with wax therapy on shoulder complex regional pain syndrome in stroke patients with hemiplegia.Methods sixty stroke patients were randomly divided into experimental group(31 cases)and control group(29 cases).The con⁃trol group was treated with routine rehabilitation training program,and the experimental group was treated with per⁃cutaneous nerve electrical stimulation and wax therapy on the basis of routine treatment.After 4 weeks of training,the curative effects of the two groups were compared by pain score(VAS),upper limb function score,Fugl Meyer(fma-ue)and Barthel Index(MBA).Results after rehabilitation treatment,VAS,fma-ue and MBA scores of the two groups were significantly improved compared with those before treatment(P<0.05),and the curative effect of the experimental group was significantly better than that of the control group(P<0.05).Conclusion percutane⁃ous electrical stimulation combined with wax therapy can effectively reduce the symptoms of shoulder complex re⁃gional pain syndrome in stroke patients with hemiplegia,improve the motor function of upper limbs and improve the ability of daily activities.

关 键 词：经皮神经电刺激 蜡疗 脑卒中 偏瘫 复杂性区域疼痛综合征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]